| Doctor Name: | DR. LISA BETH SMALHEISER |
| NPI Number: | 1023368644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PY9109 |
| Business Practice Address: | 7469 Nw 4th St Plantation, FL - 333172216 |
| Business Phone Number: | 9547920772 |
| Business Fax Number: | |
| Mailing Address: | 4925 Sw 65th Ave, DAVIE |
| State: | FL |
| Postal Code: | 333144322 |
| Phone Number: | 9548292975 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2012 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PY9109 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |